scholarly journals Does Functional Decline Prompt Emergency Department Visits and Admission in Older Patients?

2006 ◽  
Vol 13 (6) ◽  
pp. 680-682 ◽  
Author(s):  
Scott T. Wilber ◽  
Michelle Blanda ◽  
Lowell W. Gerson
Keyword(s):  
Emergency Department ◽  
Older Patients ◽  
Functional Decline ◽  
Emergency Department Visits

180-Day functional decline among older patients attending an emergency department after a fall

Maturitas ◽  
2019 ◽  
Vol 129 ◽  
pp. 50-56
Author(s):  
Òscar Miró ◽  
Berenice N. Brizzi ◽  
Sira Aguiló ◽  
Xavier Alemany ◽  
Javier Jacob ◽  
...  
Keyword(s):  
Emergency Department ◽  
Older Patients ◽  
Functional Decline

scholarly journals Timed Up and Go predicts functional decline in older patients presenting to the emergency department following minor trauma

2016 ◽  
Author(s):  
Debra Eagles ◽  
Jeffrey J. Perry ◽  
Marie-Josée Sirois ◽  
Eddy Lang ◽  
Raoul Daoust ◽  
...  
Keyword(s):  
Emergency Department ◽  
Older Patients ◽  
Functional Decline ◽  
Minor Trauma ◽  
Timed Up And Go

scholarly journals Emergency department visits and inpatient hospitalizations among older patients with brain metastases: A dual population- and institution-level analysis

2021 ◽  
Author(s):  
Nayan Lamba ◽  
Paul J Catalano ◽  
Colleen Whitehouse ◽  
Kate L Martin ◽  
Mallika L Mendu ◽  
...  
Keyword(s):  
Emergency Department ◽  
Brain Metastases ◽  
Older Patients ◽  
Emergency Department Visits ◽  
Patient Navigator ◽  
Intracranial Disease ◽  
Morbidity Score ◽  
Co Morbidity ◽  
Inpatient Hospitalizations ◽  
Ed Visits

Abstract Background Older patients with brain metastases (BrM) commonly experience symptoms that prompt acute medical evaluation. We characterized emergency department (ED) visits and inpatient hospitalizations in this population. Methods We identified 17,789 and 361 Medicare enrollees diagnosed with BrM using the Surveillance, Epidemiology, and End Results-Medicare database (2010-2016) and an institutional database (2007-2016), respectively. Predictors of ED visits and hospitalizations were assessed using Poisson regression. Results The institutional cohort averaged 3.3 ED visits/1.9 hospitalizations per person-year, with intracranial disease being the most common reason for presentation/admission. SEER-Medicare patients averaged 2.8 ED visits/2.0 hospitalizations per person-year. For patients with synchronous BrM (N=7,834), adjusted risk factors for ED utilization and hospitalization, respectively, included: male sex (rate ratio [RR]=1.15 [95% CI=1.09-1.22], p<0.001; RR=1.21 [95% CI=1.13-1.29], p<0.001); African American vs. white race (RR=1.30 [95% CI=1.18-1.42], p<0.001; RR=1.25 [95% CI=1.13-1.39], p<0.001); unmarried status (RR=1.07 [95% CI=1.01-1.14], p=0.02; RR=1.09 [95% CI=1.02-1.17], p=0.01); Charlson co-morbidity score >2 (RR=1.27 [95% CI=1.17-1.37], p<0.001; RR=1.36 [95% CI=1.24-1.49], p<0.001); and receipt of non-stereotactic vs. stereotactic radiation (RR=1.44 [95% CI=1.34-1.55, p<0.001; RR=1.49 [95% CI=1.37-1.62, p<0.001). For patients with metachronous BrM (N=9,955), ED visits and hospitalizations were more common after vs. before BrM diagnosis (2.6 vs. 1.2 ED visits per person-year; 1.8 vs. 0.9 hospitalizations per person-year, respectively; RR=2.24 [95% CI=2.15-2.33], p<0.001; RR=2.06 [95% CI=1.98-2.15], p<0.001, respectively). Conclusions Older patients with BrM commonly receive hospital-level care secondary to intracranial disease, especially in select subpopulations. Enhanced care coordination, closer outpatient follow-up, and patient navigator programs seem warranted for this population.

Identifying Older Patients at High Risk for Emergency Department Visits and Hospitalization

2019 ◽  
Vol 22 (5) ◽  
pp. 394-398
Author(s):  
Brooke E. Salzman ◽  
Rachel V. Knuth ◽  
Amy T. Cunningham ◽  
Marianna D. LaNoue
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Older Patients ◽  
Emergency Department Visits

scholarly journals SP365COGNITIVE AND FUNCTIONAL DECLINE IN OLDER PATIENTS WITH IMPAIRED RENAL FUNCTION PRESENTING TO THE EMERGENCY DEPARTMENT

2015 ◽  
Vol 30 (suppl_3) ◽  
pp. iii499-iii499
Author(s):  
Marije H. Kallenberg ◽  
Jelle de Gelder ◽  
Bas de Groot ◽  
Jacinta A. Lucke ◽  
Jaap Fogteloo ◽  
...  
Keyword(s):  
Emergency Department ◽  
Renal Function ◽  
Older Patients ◽  
Impaired Renal Function ◽  
Functional Decline

scholarly journals Emergency department visits in older patients: a population-based survey

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mika Ukkonen ◽  
Esa Jämsen ◽  
Rainer Zeitlin ◽  
Satu-Liisa Pauniaho
Keyword(s):  
Emergency Department ◽  
Older Patients ◽  
Population Based ◽  
Emergency Department Visits ◽  
Population Based Survey

scholarly journals The presentational flow chart “unwell adult” of the Manchester Triage System—Curse or blessing?

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252730
Author(s):  
Vanessa Brutschin ◽  
Monika Kogej ◽  
Sylvia Schacher ◽  
Moritz Berger ◽  
Ingo Gräff
Keyword(s):  
Emergency Department ◽  
Older Patients ◽  
Emergency Department Visits ◽  
Flow Chart ◽  
Initial Assessment ◽  
Considerable Proportion ◽  
Triage System ◽  
Manchester Triage System ◽  
Flow Charts ◽  
Observation Period

Background The presentational flow chart “unwell adult” of the Manchester Triage System (MTS) occupies a special role in this triage system, defined as the nonspecific presentation of an emergency patient. Current scientific studies show that a considerable proportion of emergency room patients present with so-called "nonspecific complaints". The aim of the present study is to investigate in detail the initial assessment of emergency patients triaged according to the presentational flow chart "unwell adult". Methods Monocentric, retrospective observational study. Results Data on 14,636 emergency department visits between March 12th and August 12th, 2019 were included. During the observation period, the presentational flow chart "unwell adult" was used 1,143 times and it was the third most frequently used presentational flow chart. Patients triaged with this flow chart often had unspecific complaints upon admission to the emergency department. Patients triaged with the “unwell adult” chart were often classified with a lower triage level. Notably, patients who died in hospital during the observation period frequently received low triage levels. The AUC for the MTS flow chart “unwell adult” and hospitalization in general for older patients (age ≥ 65 years) was 0.639 (95% CI 0.578–0.701), and 0.730 (95% CI 0.714–0.746) in patients triaged with more specific charts. The AUC for the MTS flow chart “unwell adult” and admission to ICU for older patients (age ≥65 years) was 0.631 (95% CI 0.547–0.715) and 0.807 (95% CI 0.790–0.824) for patients triaged with more specific flow charts. Comparison of the predictive ability of the MTS for in-hospital mortality in the group triaged with the presentational flow chart “unwell adult” revealed an AUC of 0.682 (95% CI 0.595–0.769) vs. 0.834 (95% CI 0.799–0.869) in the other presentational flow charts. Conclusion The presentational flow chart "unwell adult" is frequently used by triage nurses for initial assessment of patients. Patient characteristics assessed with the presentational flow chart "unwell adult" differ significantly from those assessed with MTS presentational flow charts for more specific symptoms. The quality of the initial assessment in terms of a well-functioning triage priority assessment tool is less accurate than the performance of the MTS described in the literature.

Sign in / Sign up

Export Citation Format

Share Document